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Medical Claims Clinical Auditor (ee)
Port Elizabeth
Monthly nursing experience.
- Apply scheme rules, clinical policies and protocols to funding.
- Action queries to case managers for resolution.
- Act as clinical support to non-clinical hospital claim auditors in terms of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization) relevant team.
- Review hospital claims for clinical appropriateness, treatment authorized, over-usage
share this job on whatsappMedical Claims Clinical Auditor (ee)
HeadhuntersSouth Africa
client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities Internal Process: Apply scheme rules, clinical policies and protocols to funding. Action allocated approval queries to case managers for resolution. Act as clinical support to non-clinical hospital claim auditors auditors in terms of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
Mentor Free State
Construct Executive SearchFree State
ECSA Mentors X 3 (Professional Civil Engineer) – Hybrid Applicants must have the following requirements: Engineering and at least 5 years serving as a mentor with ECSA As a mentor you will be in charge of reviewing ECSA registration reports and advising candidates. The mentors MUST be based on in Mpumalanga and Free State Provinces
Clinic Manager – Retirement Village
Sea Point
nursing or long-term care settings.
· Strong clinical assessment and critical thinking skills.
· and resident preferences.
· Administer medications, treatments, and procedures in accordance with hygiene as needed.
· Respond promptly to medical emergencies and provide appropriate interventions accurately and comprehensively in residents' medical records.
· Extensive weekly, monthly and and Training:
· Responsible for managing 6 staff members including 5 carers and 1 supervisor
Business And Clinical Development Manager
South Africa
Negotiable delivering staffing solutions, workforce management, medical fitness screening and home care has an opportunity for a Business and Clinical Development Manager in Eastern Cape.
To manage and direct the operational Private Hospital work experience
Clinical Development Manager Gqeberha
TalentcruSouth Africa
delivering staffing solutions, workforce management, medical fitness screening and home care has an opportunity opportunity for a Business and Clinical Development Manager in Eastern Cape Ensure that the branch is ensure that monthly targeted billings are attained Manage operations to ensure that costs are contained within with the clients Engaging with the Nurse Managers and Unit Managers, to identify opportunities, staffing upskilling and clinical evaluations of assignees Enforcing Charisma policy and procedure at the clinical interface
Unit Manager - Medical Ward
Johannesburg
Monthly
The Unit Manager will also be responsible for monitoring and ensuring that Quality nursing care and service
Unit Manager will be accountable and responsible for coordinating capacity building, mentoring, coaching
effective quality patient care in line with the clinical governance strategy of the hospital and evidence
/>Evaluate and monitor nursing quality indicators and clinical outcomes
Communicate effectively with patients
relevant nursing qualification with relevant management experience
Registration with the South African
Compliance Manager (pharmaceutical/medical)
Johannesburg
organisations
? Internal SOPs related to departmental management
DUTIES AND RESPONSIBILITIES:
Position Summary:
The Compliance Manager will oversee two compliance aspects : regulatory
maintaining systems and records for audit purposes
o Manage internal and external approval processes
o
SOP’s.
o Manage any external and internal audits around compliance and the management thereof
o Manage implementation of internal audit recommendations
Unit Manager - Medical Ward
Ultra Personnel : Pharmaceutical, Insurance, EngineeringSouth Africa
Unit Manager for the Medical Ward. This position is based in Johannesburg South. The Unit Manager will Unit Manager will be accountable and responsible for coordinating capacity building, mentoring, coaching effective quality patient care in line with the clinical governance strategy of the hospital and evidence Evaluate and monitor nursing quality indicators and clinical outcomes Communicate effectively with patients relevant nursing qualification with relevant management experience Registration with the South African
Case Manager - Medical Advisor
Cape Town City Centre
standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital hospital claims. Working experience with a team of medical advisors will be an added advantage.
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